| NPI | 1346888302 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 298892)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 124209)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2022005143)  | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557753)  | |
| Enumeration Date | 2019-12-20 | 
| Last Update Date | 2023-10-31 |